Healthcare Provider Details

I. General information

NPI: 1376865840
Provider Name (Legal Business Name): AURORA NEURODIAGNOSTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2010
Last Update Date: 02/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 SAWDUST RD STE 101
SPRING TX
77380-2254
US

IV. Provider business mailing address

202 SAWDUST RD STE 101
SPRING TX
77380-2254
US

V. Phone/Fax

Practice location:
  • Phone: 281-794-8362
  • Fax:
Mailing address:
  • Phone: 281-794-8362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name: DR. TODD HATCH
Title or Position: OWNER
Credential:
Phone: 281-794-8362